DEBRA FISHER GORDY


Address: 18667 Little Ln, Delmar, DE 19940-4000
Phone: 4433591382

DEBRA FISHER GORDY (NPI# 1073939971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073939971
Entity Type Individual
Full Name DEBRA FISHER GORDY
Credential RDMS, RVT, ARRT
Practice Address 18667 Little Ln
Delmar
DE 19940-4000
Mailing Address Po Box 208
Delmar
DE 19940-0208
Practice Telephone 4433591382
Mailing Telephone 4433591382
Enumeration Date 2014-03-15
Last Update Date 2014-03-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471C3402X Radiologic Technologist
Specialization: Radiography
188183 MD Technologists, Technicians & Other Technical Service Providers
N 2471S1302X Radiologic Technologist
Specialization: Sonography
35528 MD Technologists, Technicians & Other Technical Service Providers
Y 2471V0105X Radiologic Technologist
Specialization: Vascular Sonography
35528 MD Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 18667 LITTLE LN
City DELMAR
State DE
Zip Code 19940-4000

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1699105296 Lauren Nichole O'day Occupational Therapy Assistant 101 Delaware Ave, Delmar, DE 19940-1110 2013-11-18
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Taxonomy Information

Taxonomy Code 2471V0105X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Vascular Sonography

Taxonomy Definition

Definition to come.

Competitor

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City DELMAR
Zip Code 19940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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